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Organization

INDIAN HARBOR CHIROPRACTIC ASSOCIATES LLC

Active
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Organization

INDIAN HARBOR CHIROPRACTIC ASSOCIATES LLC

Active
Other names
Indian Harbor Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANA B GAILES (OWNER)
(203) 273-2674
Entity
Organization

Contact information

Practice address
49 LAKE AVE STE 1E, GREENWICH, CT 06830-4519
(203) 983-5426
(203) 622-8228
Mailing address
49 LAKE AVE STE 1E, GREENWICH, CT 06830-4519
(203) 983-5426
(203) 622-8228

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001928
CT CHIROPRACTOR LICENSE NUMBER
CT
01
—
DCP00461
RI LICENSE NUMBER
RI
Enumeration date
11/21/2018
Last updated
09/02/2025
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